Illinois Built the DSP Wage Into the Rate. Michigan Stacked Three Temporary Add-Ons.Both states raised direct care wages. Only one of them made the raise permanent. Michigan’s entire increase sits...
96% of the Money That Keeps People Home Is Optional. Most of the Money That Institutionalizes Them Is Not.Federal Medicaid law makes nursing facility care mandatory and home and community...
63 Months: The Average Wait for Autism Services Through Medicaid WaiversMore than five years. That is the national average wait for an autism-specific Medicaid waiver, against 37 months for intellectual...
52% of Providers Are Considering More Cuts: Inside the Provider CollapseANCOR surveyed 469 provider organizations across 48 states in 2025. More than half are considering further program cuts, up from...
Ten ABA agencies refused to serve my son: when the system isn’t built for severe autism A mother in California counted the refusals. Ten agencies, each saying they lacked qualified...
Profound autism: why 1 in 4 autistic people need a different policy conversation The Lancet Commission drew a line: eight or older, needing 24-hour access to an adult caregiver, with...
5 bills every Michigan disability family should know about in 2026 Four federal bills and one state budget fight. Each one has a bill number, a committee, and a person...
42 states have supported decision-making laws. Michigan still doesn’t. Twenty-four states and DC have a supported decision-making statute. Eighteen more require courts to consider it before appointing a guardian. Michigan...
K.B. v. Michigan DHHS: what the children’s HCBS settlement means for adult services A federal court made Michigan build statewide intensive home and community based services for children. Your adult...
The ARPA cliff: what happens now that the emergency HCBS money is gone States planned to spend an estimated $37.1 billion on home and community based services, most of it...
